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Permit (28) CITY OF TIGARD PLUMBING PERMIT 111 I COMMUNITY DEVELOPMENT Permit#: PLM2018-00166 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/23/2018 T I i.A.r f7 9 Parcel: 151260000300 Jurisdiction: Tigard Site address: 9315 SW WASHINGTON SQUARE RD T03 Project: Lovesac Subdivision: None Lot: None Project Description: ADD(1)2"floor drain,(1)lay,(1)water closet and(1)water heater for bathroom for new tenant. Contractor: WESTERN PLUMBING Owner: PPR WASHINGTON SQUARE LLC 9460 SW TIGARD AVE SUITE 101 PO BOX 847 TIGARD, OR 97223 CARLSBAD, CA 92018 PHONE: 503-639-5296 PHONE: FAX: 503-684-9015 FEES Quantity Description Date Amount 1 ea Floor Drain/Floor Sink/Hub 04/16/2018 $25.02 Specifics: 1 ea Lavatories 04/16/2018 $25.02 1 ea Water Closet 04/16/2018 $25.02 Type of Use: COM 1 ea Water Heater 04/16/2018 $37.52 Class of Work: ALT 1 12%State Surcharge- 04/16/2018 $13.51 Type of Const: Plumbing Occupancy Grp: Stories: Total $126.09 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-i: -:e•S. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • ' Issued By: i ie S •nature: 41 • _7)44 -- Call 503.639.4175 by 7:00 a.m.for the next available insp-• :at:: This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Plumbing Permit Annlien if 'r ` v El) Building Fixtures City of Tigard P` 9 ri 1 Q Dat eiBy: 0� %' Permit NIj7 j/�"��/16 • 13125 SW Hall Blvd.,Tigard OR 97 k It (1 Date�ey: s Phone: 503.718.2439 Fax: 50t 59819,0 !'Ian Review `� �r� Dale'By: Other Peln.0S°i:ItQuuftpti:S / !/ T I t,'It U Inspection Line 503.639.4175 z tr e x: ( t r -.l Dale Rcady!By: ns ee Ps e 2 for Internet: www.li and-or. ov le g g �(.. lw Alii Notified/Method: ���Ir� plemental Information TYPE Q —.ill. /�9 ':FEL* SCR:II } E ❑New construction ❑Demolition For special informatischecklist Description Addition/alteration/replacement ❑Other: . I L"-a, I Tota! New 1-2-family dwellings(includes I (breach utility connection) CATEGORY OF CONSTRUCTION SFR(I)bath 312.70 I ❑ I-and 2-lantily dwelling r ]Commercial/industrial SFR(2)bath 437.78 Accessory buildin SFR(3)bath 500.32 ❑ g ❑Multi-family , -, ❑Master huilder Each additional bath/kitchen 25.02 ❑Other: Fires rinkler I 2 ' p (____,_sq.ft.l ; Page� JOB'SITE. INFORMATION AND LOCATl.ON Site utilities: loh site address p�_�,�r {�,,, - Catch basin or area drain �c�J�S:� >� C � �Jdai( 18.76 City/State%/..IP: � ,�(,� Dq�well.leach line,or trench drain 18.76 "fir � � Footing drain(no.linear ft.: ) Page 2 Suite/hldg./apt.no.: Project name: � f Manufactured home utilities 50.03 Cross street/directions to job site: I Manholes 18.76 C I Rain drain connector 18,76 Sanitary sewer(no.linear ft.: ) Page 2 Storm sewer(no.linear ft.: Page 2 Water service(no.linear ft.:�) Page 2 Subdivision: Lot no.: Fixture or item; Tax map/parcel no.: Backflow preventer 31.27 Backwater valve 12.51 DESCRIPTION OF WORK I Y ��� Clothes washer 25.02 .�r1,, i)ishw•asher 25.02 f,v6 /1 �/��c'O/7 ���` Z1N'g Drinking fountain 25.02 Injectors/sump 25 02 PROPERTY OWNER ❑ TENANT Expansion tank 12.5! Name: l����lC Fixture/sewer cap 25.02 1' gyp, `^ Floor drain/floor sink/hub t 25.02p� Address: 1 Garbage disposal 25.02 City/Stale%ZIP: • m� �� Hose hih 25,02 II r Phone:( ) Fax:( ) ice maker 12.51 III APP[,ICANT [�.CUNTaRCT pERS,QN 1 Interceptor/grease trap 25.02 Business Warne: �'�m `vV. ! Medical gas(value:$ ) I Page 2 t Vt ►" - I Primer f 12.51 Contact name: �i �p Roof drain(commercial) 12.51 f Address: 1` l.,C \SL i 1` I©\ Sink/basin/lavatory 25.02 C_ City/Stare/LIP: i1 ./J t /rQ� Solar units(potahic water) } 62.54 Phone: ) ��� �� 11�j Fax::( )) Tub/shower/shower pan I 12.5 i li-mail: Urinal Y)t L �' y�r v Water closet 25.02 CONTRACTOR �t Q� Water heater 31.52 3 G�'Z L)usiness name:Western Plumbing,Ire, ^Water piping/DWV 56.29 , Addrt ss;9460 SW Tigard Street,Suite 101 Other: ..._, 25,02 City/State/%IP:Tigard,OR 97223 Subtotal 11�� ' Phone:(503)639-5296 Fax:( ) Minimum permit f'ee: $72.50 f C'('13 I..ic.:2439 ?lambing Lic.no.:3429N13 Plan review (25%of permit fee) I State surcharge(12%of permit fee) ,�jjGj t Anthorizcd signature: / 4 40 /r /' ) TOTAL.PERMIT FEE J ,6 Print nama� l`�� ;CG�f�(j Dale:(IP i I This permit application expires it a permit Is not obtained within ISO day i / 1 after it has been accepted as complete. (/ *Fee methodology set by Tri-County Building industry Service Board. t'.Building\Pennits\PLMti-PermitApp.doc IO/OUn9 440-4elCa(I0/02/COM•WEBI Plumbing Permit Application - City of Tigard Page 2 - Supplemental Information Fee Schedule: Residential Fire Suppression Systems: Site Utilities Qtr. Fat tea} Total , 1.Squiattre Footage:: ' Permit Fee: Footing drain-le 100' 50.03 0 to 2,000 , $121.90 Footing drain-each additional 100' 37.52 2.001 to 3.600 $169.69 3,601 to 7,200 $233.20 Sewer-1st 100' 62.54 i 7,201 and greater $327.54 Sewer-each additional 100' 37.52 Water Service-1st 100' 62.54 Medical Gas Systems: Water Service-each additional 100' 37.52Va nitlion: m Peri _Fee+ , Storm&Rain Drain-1st 1004 62.54 $1.00 to$5.000.00 Minimum fee$72.50 Storm&Rain Drain-each additional 100' 37.52 $5.001.00 to$10.000.00 $72.50 for the first$5,000.00 and$1.52 for Fee tta) Total each additional$100.00 or fraction thereof,to ()(her Inspecti�rDS E1r FSS and including$10,000.00. Inspection of existing plumbing or for $I0.001.00 to$25,000.00 $148.50 for the first$10,000.00 and$1.54 for which no tee is specifically indicated 90.00/hr each additional$100.00 or fraction thereof,to -(minimum charge-1/2 hour) and including$25,000.00. Inspections outside of normal business 90.00/hr $25,001,00 to$50,000.00 $319.50 for the first$25,000.00 and$1.45 for hours(minimum charge-2 hours/ each additional$100.00 or fraction thereof,to -12cinspection Fees 90.00/hr and including$50,000.00. Additional plan review for revisions 90.00/hr $50.001.00 and up $742.00 for the first$50.000,00 and$1.20 for each additional$100.00 or fraction thereof. (minimum charge-1/2 hour) Subtotal: Commercial Fixture Work: Are you capping,adding or replacing fixtures? If"yes", please indicate work performed by fixture. Failure to accurately report fixtures could result in increased sewer fees*. Quantity by Fixture Type . Flan itelim for Plumbing Installations Fixture Type for - Replace/ Plan review is required for any of the following. Work Performed: Capped Added Relocate Please check all that apply. Baptistry/Font 0 Any new commercial building with water service 2"and Bath -Tub/Shower -Jacuzzi/Whirlpoolgreater.except systems designed and stamped by licensed Car Wash -Each Stall engineer. -Drive Thru 0 New exterior plumbing site utilities for any complex structure Cuspidor/Water Aspirator as defined in OAR918-780-0040. Dishwasher -Commercial 0 Medical gas and vacuum systems for health care facilities. -Domestic ❑ Any multipurpose fire sprinkler system. Drinking Fountain _ 0 Any complex structure as defined in OAR918-780-0040. Eye Wash . Floor Drain/sink -2" 1 Submit a sets of plans with any of the above. 4.. Isometric or.Risef'Diagram Car Wash Drain Garbage -Domestic-non-food 0 isometric or riser diagram is required for new buildings Disposal -Domestic-food related that meet the qualifications above. -Commercial-food related -Industrial-food related . lee MachiRefrig.Drains Oil Separator(Gas Station) Comments regarding fixture work: Rec.Vehicle Dump Station Shower -Gang -Stall Sink/I.av -Non-food related i , -Bradley -Commercial-food related -Service 1 Swimming Pool Filter *Note: if the fixture work under this permit results in an Washer-Clothes increase of sewer EDUs,a sewer permit will be issued and Water Extractor Water Closet-Toilet 1 fees assessed for the sewer increase must be paid before the Urinal plumbing permit can be issued. rOther Fixture http://wvvw.tigard-or,gov/document_center/Building/PLM F_Perm itApp,dS City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 Location: Inspection Date: 9315 SW WASHINGTON SQUARE RD T03, TIGARD, OR, 97223 Record Type: Record ID: Commercial - Plumbing PLM2018-00166 Inspection Type: Inspector: 399 Plumbing final Don Sylvester Result: PASS - NoCofO Comments: Violation Summary: Inspector Contractor